MEDICARE: DR. MELINDA A GARCIA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	KS60390	KS

General Provider Information

NPI Number	:	1972601714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELINDA A GARCIA DDS

Provider Business Mailing Address
First Line	:	7427 VILLAGE DR
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-2862
Country	:	US
Telephone Number	:	913-787-1163
Fax Number	:

Provider Business Practice Location Address
First Line	:	7930 LEE BLVD
Second Line	:
City	:	LEAWOOD
State	:	KS
Zip	:	66206-1215
Country	:	US
Telephone Number	:	913-383-5373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/08/2015

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